Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.67 / $27.08 / $45.87	Facility	26	$17.67	$27.08	$45.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $93.88 / $181.00	Professional		$78.15	$93.88	$181.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $20.17 / $55.76	Professional	26	$17.67	$20.17	$55.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.64 / $68.56 / $147.28	Professional	TC	$59.64	$68.56	$147.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.50 / $18.62 / $31.70	Professional	26	$15.50	$18.62	$31.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $65.37 / $65.37 / $65.37	Professional	TC	$65.37	$65.37	$65.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $98.89 / $162.22	Professional		$80.59	$98.89	$162.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.83 / $24.89 / $42.53	Professional	26	$20.83	$24.89	$42.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.76 / $72.56 / $127.61	Professional	TC	$59.76	$72.56	$127.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.72 / $22.72 / $22.72	Facility	26	$22.72	$22.72	$22.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $109.92 / $193.48	Professional		$70.88	$109.92	$193.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.02 / $27.84 / $44.17	Professional	26	$17.02	$27.84	$44.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.35 / $82.67 / $153.75	Professional	TC	$56.35	$82.67	$153.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.20 / $90.84 / $90.84	Facility	26	$47.20	$90.84	$90.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $106.55 / $637.19	Professional		$80.59	$106.55	$637.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $25.25 / $127.82	Professional	26	$20.23	$25.25	$127.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.16 / $82.79 / $509.36	Professional	TC	$61.16	$82.79	$509.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $36.46 / $36.46	Professional	26	$36.46	$36.46	$36.46
United Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $103.24 / $179.65	Professional		$80.37	$103.24	$179.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $24.79 / $39.76	Professional	26	$19.82	$24.79	$39.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.71 / $76.86 / $139.19	Professional	TC	$57.71	$76.86	$139.19